CLINICAL CASE

1 – Occlusal view of the ridge after flap elevation.
2 – Longitudinal split of the alveolar crest by use of piezo-surgical instruments.
3 – Two implants are placed in the expanded crest.
4 – The split around the implants is filled with a mixture (1:1) of autologous bone chips from the retromolar area and Geistlich Bio-Oss®.
5 – The augmented ridge is covered with a Geistlich Bio-Gide® membrane before closure of the soft tissue.
6 – Buccal view of the final situation.
7 – Occlusal view of the prosthetic outcome.
8 – X-ray findings 6 months after implant placement.

CLINICAL CHALLENGE:

  • Insufficient alveolar ridge width for implant placement
  • Autologous bone is subject to resorption and may lead to loss of volume

AIM/APPROACH:

  • Ridge Split procedure in combination with Geistlich Bio-Oss® and Geistlich Bio-Gide® for horizontal augmentation
  • Preservation of the alveolar ridge volume